Cat scratch esophagus: a new entity to be described?

We report the case of an 84 years old man without significant medical history. He consulted for rapidly progressive dysphagia for solids and liquids and loss of weight. The gastroscopy showed a dilated esophagus but no trace of food in it. The esophageal mucosa had superficial and linear tears that followed the long axis from the middle to the cardias (Fig. 1). The endoscopic view remembered that would cause a cat scratching on a tubular fabric. Among the mucosal flaps we could see an entire and erythematous submucosa with its microvasculature respected (Fig. 2). Endoscopic progression, which was not traumatic, diagnosed a cardiac tumor that was generating an incomplete stenosis at that level. Histology showed a squamous stratified epithelium.